<div id="wrap" class="website_exchange">
    <div class="container" style="width: 300px">
        <h1>卡券提货</h1>
        <form action="/card/exchange/verify" method="post" role="form" id="form-card-validate">
            卡券号码:<input type="text" name="card_code" required="true"
                class="form-control required" placeholder="卡券号码"/>
            <br/>
            刮开的密码:<input type="text" name="card_password" required="true" placeholder="卡券密码" class="form-control required"/>
            <br/>
            验证码:
            <img src="/validate_code" width="160" />
            <br />
            <input type="text" name="validate_code" placeholder="验证码" required="true" class="form-control required"/>
            <br/>
            <button class="btn btn-primary" type="submit">提交</button>
        </form>
    </div>
</div>